Chronic Care Management …I posed/mentioned the question on a couple boards a while back…
It’s a set of procedures codes that were designed to compensate promary care offices for the added, previously uncompensated, work that patients with multiple co morbidities generate. A good idea in theory, but…
I inadvertently found that we’d been added to this program about 3 or 4 years ago…in spite of neither of us having been diagnosed with enough co morbidities to qualify and certainly not the ones listed on our medical records. I called the practice and created such a fuss that the high BP and strokes that I’d allegedly had were removed.
I wrote about it quite extensively as, should an inaccurate detail be included, it tends to cling like a limpet and can come back to haunt, should medical underwriting require a check of those records.
When I did officially qualify after my belated discovery of ASCVD/significant coronary artery involvement (thanks to my own efforts, mainly) and that I finally belonged to the multiple co morbidity club, I did agree since Medicare reimbursement is unsustainably low for even a cursory annual wellness visit. My only reservation was that I was concerned that the check-ins were going to be primarily geared towards the multiple hoards whose conditions are due to various iterations of metabolic syndrome secondary to obesity. Apparently, there’s no capacity to customise the program so I find myself deleting the weekly nudge to check my weight and BP (do that anyway), glucose, and a whole set more values that are all normal and always have been. Kind of a constant reminder of the fact that my belatedly discovered was belatedly discovered because my Red Flags were being hidden by my healthy lifestyle smokescreen…and ignored even by those who should know better.